Individual
MONICA EULALIA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
130 72ND ST APT 2, NORTH BERGEN, NJ 07047-5802
(551) 254-8634
Mailing address
130 72ND ST APT 2, NORTH BERGEN, NJ 07047
(551) 254-8634
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NY000398700E
CNA
NY
Enumeration date
09/16/2017
Last updated
07/21/2022
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